New Parishoner Registration

Family Name*
Home Address*
Home Phone Number*
Family Email Address*

 

Member Information

Husband

First Name
Last Name (if different)
Birthdate
Occupation
Work Phone Number
Religion

 

Wife

First Name
Last Name (if different)
Birthdate
Occupation
Work Phone Number
Religion

 

Single Adult

First Name
Last Name (if different)
Birthdate
Occupation
Work Phone Number
Religion

 

Children

Child #1 First Name
Child #1 Last Name (if different)
Child #1 Sex

Child #1 Birthdate
Child #1 School Attending
Child #1 Grade
Child #1 Year Baptized
Child #1 Year Confirmed
 
Child #2 First Name
Child #2 Last Name (if different)
Child #2 Sex

Child #2 Birthdate
Child #2 School Attending
Child #2 Grade
Child #2 Year Baptized
Child #2 Year Confirmed
 
Child #3 First Name
Child #3 Last Name (if different)
Child #3 Sex

Child #3 Birthdate
Child #3 School Attending
Child #3 Grade
Child #3 Year Baptized
Child #3 Year Confirmed
 
Child #4 First Name
Child #4 Last Name (if different)
Child #4 Sex

Child #4 Birthdate
Child #4 School Attending
Child #4 Grade
Child #4 Year Baptized
Child #4 Year Confirmed
 
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